<?php
/**
 * @package WordPress
 * @subpackage Default_Theme
 */

/*
Template Name: Order
*/
?>

<?php get_header(); ?>
<style type="text/css">.ss-q-title{display:block;font-weight:bold;color:#D2A71A;font-size:14px;}.ss-q-help{display:block;}</style>
<form action="http://spreadsheets.google.com/formResponse?formkey=dGxyZDVXUGdCRVZjTnlBM0dqT29NMHc6MA..&amp;theme=0AX42CRMsmRFbUy0wYjVlZjc1Mi00ZmQ1LTQ1YTktOWUyMC05M2IxMzljNTJkOTQ&amp;ifq" method="POST" id="ss-form">
    <input type="hidden" name="m_type" value="order" />
    <input name="entry.0.group" checked="checked" value="9" class="ss-q-radio none" id="group_0_1" type="radio">
	<div id="container">
		<div id="content">
		<h1>(庙) 订单系统</h1>
            <br>
            <div class="errorbox-good">
                <div class="ss-item  ss-text">
                    <div class="ss-form-entry"><label class="ss-q-title" for="entry_2">份数 </label>
                        <label class="ss-q-help" for="entry_2">每份(1个域名,30G/月流量,500MB空间) 多份只有一控制面板，不过资源可动态分配</label>
                        <input name="entry.2.single" class="ss-q-short" id="entry_2" type="text" value="2">份</div>
                </div>
            </div>
            <br>
            <div class="errorbox-good">
                <div class="ss-item  ss-radio">
                    <div class="ss-form-entry"><label class="ss-q-title" for="entry_3">独享IP </label>
                        <label class="ss-q-help" for="entry_3">默认多人共享一个独立IP</label>
                        <ul class="ss-choices">
                            <li class="ss-choice-item">
                                <input name="entry.3.group" checked="checked" value="0" class="ss-q-radio" id="group_3_1" type="radio">
                                <label class="ss-choice-label" for="group_3_1">不需要</label></li>
                            <li class="ss-choice-item">
                                <input name="entry.3.group" value="1" class="ss-q-radio" id="group_3_2" type="radio">
                                <label class="ss-choice-label" for="group_3_2">1个独享IP(+99元)</label></li>
                        </ul>
                    </div>
                </div>
            </div>
            <br>
            <div class="errorbox-good">
                <div class="ss-item  ss-text">
                    <div class="ss-form-entry"><label class="ss-q-title" for="entry_4">姓名 </label>
                        <label class="ss-q-help" for="entry_4">网名亦可,不会透露给别人</label>
                        <input name="entry.4.single" class="ss-q-short" id="entry_4" type="text"></div>
                </div>
            </div>
            <br>
            <div class="errorbox-good">
                <div class="ss-item  ss-paragraph-text">
                    <div class="ss-form-entry"><label class="ss-q-title" for="entry_5">域名 </label>
                        <label class="ss-q-help" for="entry_5">可能会捆绑的域名,每行一个</label>
                        <textarea name="entry.5.single" rows="2" cols="75" class="ss-q-long" id="entry_5"></textarea>
                    </div>
                </div>
            </div>
            <br>
            <div class="errorbox-good">
                <div class="ss-item  ss-text">
                    <div class="ss-form-entry"><label class="ss-q-title" for="entry_6">E-mail </label>
                        <label class="ss-q-help" for="entry_6">重要信息将通过E-mail发放,务必可用</label>
                        <input name="entry.6.single" class="ss-q-short" id="entry_6" type="text"></div>
                </div>
            </div>
            <br>
            <div class="errorbox-good">
                <div class="ss-item  ss-text">
                    <div class="ss-form-entry"><label class="ss-q-title" for="entry_7">手机 </label>
                        <label class="ss-q-help" for="entry_7">非必选</label>
                        <input name="entry.7.single" class="ss-q-short" id="entry_7" type="text"></div>
                </div>
            </div>
            <br>
            <div class="errorbox-good">
                <div class="ss-item  ss-text">
                    <div class="ss-form-entry"><label class="ss-q-title" for="entry_8">QQ </label>
                        <label class="ss-q-help" for="entry_8">非必选</label>
                        <input name="entry.8.single" class="ss-q-short" id="entry_8" type="text"></div>
                </div>
            </div>
            <br>
            <div class="errorbox-good">
                <div class="ss-item  ss-text">
                    <div class="ss-form-entry"><label class="ss-q-title" for="entry_9">Gtalk </label>
                        <label class="ss-q-help" for="entry_9">非必选</label>
                        <input name="entry.9.single" class="ss-q-short" id="entry_9" type="text"></div>
                </div>
            </div>
            <br>
            <div class="errorbox-good">
                <div class="ss-item  ss-text">
                    <div class="ss-form-entry"><label class="ss-q-title" for="entry_10">后台登陆用户名 </label>
                        <label class="ss-q-help" for="entry_10">留空即默认同邮箱前缀</label>
                        <input name="entry.10.single" class="ss-q-short" id="entry_10" type="text"></div>
                </div>
            </div>
            <br>
            <div class="errorbox-good">
                <div class="ss-item  ss-text">
                    <div class="ss-form-entry"><label class="ss-q-title" for="entry_11">淘宝 </label>
                        <label class="ss-q-help" for="entry_11">方便查账,请务必填写</label>
                        <input name="entry.11.single" class="ss-q-short" id="entry_11" type="text"></div>
                </div>
            </div>
            <br>
            <div class="errorbox-good">
                <div class="ss-item  ss-paragraph-text">
                    <div class="ss-form-entry"><label class="ss-q-title" for="entry_12">备注 </label>
                        <label class="ss-q-help" for="entry_12">其他支付方式或有任何问题请备注</label>
                        <textarea name="entry.12.single" rows="8" cols="75" class="ss-q-long" id="entry_12"></textarea>
                    </div>
                </div>
            </div>
            <br> <input name="pageNumber" value="0" type="hidden"> <input name="backupCache" value="" type="hidden">
            <div class="ss-item ss-navigate">
                <div class="ss-form-entry">
                    <input name="submit" value="提交" type="submit"></div>
            </div>
        </form>
		<p>提交后可能一片空白, 别怕, 那是提交成功了, 这部分体验正在改善中...</p>
		</div><!-- #content -->
	</div><!-- #container -->

<?php get_sidebar() ?>
<?php get_footer() ?>